Individual
JASPER K WU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3495 BAILEY AVE, BUFFALO, NY 14215-1129
(716) 834-9200
Mailing address
65 MAPLE CT APT 2, BUFFALO, NY 14226-3634
(516) 423-1957
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
061110
NY
Other
Enumeration date
03/21/2019
Last updated
07/21/2020
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